子宫动脉栓塞治疗子宫肌瘤的疗效观察

Efficacy of uterine arterial embolization on uterus myoma

目的:探讨子宫动脉栓塞术治疗症状性子宫肌瘤的中远期疗效。方法:对2000年1月至2004年12月上海市第八人民医院和上海市闸北区中心医院用子宫动脉栓塞术治疗的306例子宫肌瘤患者进行随访。结果:随访306例648个月,治愈42例(13.73%),显效207例(67.65%),有效40例(13.07%),无效17例(5.56%)。其中36例大于50岁的患者术后23个月出现闭经。224例患者术后性激素(E2、FSH、LH)值与治疗前无统计学差异(P>0.05)。结论:子宫动脉栓塞术是治疗症状性子宫肌瘤的又一种有效方法,中远期疗效确切,而且不影响其他治疗,术后可明显提高患者的生活质量。

Objective： To explore the efficacy of uterine artery embolism on symptomatic uterus myoma. Method： 306 uterus myoma patients had been treated with uterine arterial embolization were reviewed. Results： The follow up time was 6～48 months. The cure rate, obviously effective rate, effective rate and invalid rate were 13.73%, 67.65%, 13.07% and 5.56% respectively. Among 36 patients who were older than 50, amenorrhea occurred after operation in all the patients of this group. No obvious changes of sex hormones （E2, FSH, LH） were observed between preoperation and postoperation in 224 cases （P 〉 0.05）. Conclusions： Uterine artery embolism is an effective method for symptomatic uterus myoma. Intermediate-prostecdtive efficacy is precise. And it has no influence on other treatment. The patients quality of life may be increased obviously after operation.